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Abstract The American College Encyclopedic Dictionary1 defines the word dabble, "to do anything in a slight or superficial manner." One of the problems that faces medicine today is the so-called dabbler. The dabbler in head and neck oncology is one who manages a few patients, eg, five or six patients a year, usually with stage 1 or II disease, and possibly one or two patients with stage III or IV disease, does not have the necessary support personnel, lacks appropriate rehabilitation facilities, and fails to keep abreast of continuing education in head and neck oncology. In turn, this infers that the involved hospital is also part and parcel of dabbling in their credentialing system. We might call the hospital "the dabblice." When one attempts to analyze the cause of this problem, a number of possibilities appear, one of which might be our free enterprise system. This, however, is not the cause; References 1. Barnhart CL: The American College Encyclopedic Dictionary . Chicago, Spencer Press Inc, 1960. 2. Baker RR, Hyland J: Papillary carcinoma of the thyroid gland . Surg Gynecol Obstet 1985; 161:546-550. 3. Beierwaltes WH, Rabbani R, Dmuchowski C, et al: An analysis of 'ablation of thyroid remnants' with 1131 in 511 patients from 1947-1984: Experience at University of Michigan . J Nucl Med 1984;25:1287-1293. 4. Loré JM Jr: Issues in community hospital or cancer center care of head and neck cancer patients , in Myers EN, Barofsky I, Yates JW (eds): Rehabilitation and Treatment of Head and Neck Cancer , US Dept of Health and Human Services publication (NIH) 86-2762,1968, pp 155-165. 5. Loré JM Jr: Head and neck oncologic surgery: Where we have been and where we are going . Am J Surg 1981;142:104.
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Nov 1, 1987
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